Individual
DARCI L GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01465
OR
363A00000X
Physician Assistant
PA10005098
WA
363AM0700X
Medical Physician Assistant
Primary
PA10005098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216209
L&I
WA
05
—
8470973
—
WA
Enumeration date
12/11/2006
Last updated
10/18/2013
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